Organization
MADISON COUNTY EMS
Active
Other names
Madison Co EMS
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD S. JACKSON (DIRECTOR)
(859) 623-5121
Entity
Organization
Contact information
Practice address
556 S KEENELAND DR, RICHMOND, KY 40475
(859) 623-5121
(859) 623-0340
Mailing address
556 S KEENELAND DR, RICHMOND, KY 40475-3232
(859) 623-5121
(859) 626-0340
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1268
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069991
BLUE CROSS BLUE SHIELD
KY
05
—
55076020
—
KY
05
—
56005259
—
KY
01
—
590587039
RAILROAD MEDICARE
KY
Enumeration date
05/08/2006
Last updated
01/12/2022
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